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Medicare Part A – Hospital Insurance

Medicare Part A is the portion of Medicare that covers inpatient hospital care and related services. It’s often referred to as “hospital insurance” because it helps pay for care when you’re admitted to a facility.


  • Semi-private rooms, meals, nursing services, and medications during a hospital stay.
  • Care in critical access hospitals and inpatient rehabilitation facilities.
  • Coverage for rehabilitation or skilled nursing services after a hospital stay (not custodial care).
  • Up to 100 days per benefit period, with coinsurance after day 20.
  • Limited coverage for medically necessary part-time skilled nursing care, physical therapy, or speech therapy.
  • Must be ordered by a doctor and provided by a Medicare-certified agency.
  • For patients with a terminal illness and life expectancy of 6 months or less.
  • Includes pain relief, symptom management, and support services for patients and families.

  • Most people qualify for premium-free Part A if they or a spouse paid Medicare taxes for at least 10 years (40 quarters).
  • If not, monthly premiums can be several hundred dollars.
  • A set deductible per benefit period ($1,736 in 2026).
  • Daily coinsurance charges apply after 60 days in the hospital or 20 days in a skilled nursing facility.
  • Hospice care generally has no deductible, though small copays may apply for medications.

  • A benefit period begins the day you’re admitted as an inpatient and ends when you haven’t received inpatient care for 60 consecutive days.
  • You can have multiple benefit periods in a year, each with its own deductible.

Example:
If you’re hospitalized in January and again in April, you may pay two separate deductibles because they’re different benefit periods.


  • Provides the core hospital coverage for Medicare beneficiaries.
  • Ensures access to inpatient care, skilled nursing, and hospice services.
  • Acts as the foundation of Original Medicare, paired with Part B for outpatient and medical services.

Medicare Part A is your hospital insurance, covering inpatient stays, skilled nursing, hospice, and limited home health care. Most people will qualify for premium-free Part A, but deductibles and coinsurance still apply. Understanding benefit periods and coverage limits is key to avoiding unexpected costs.